BERITA ACARA PERHITUNGAN PERSEDIAAN AKHIR OBAT DAN

STOK PER
NO NAMA OBAT BMHP SATUAN 31 DES 2018 HARGA SATUAN

1 ALOPURINOL TABLET 100 MG TABLET 705 117.00

2 ALPRAZOLAM TABLET 0,5 MG TABLET 88.00
3 AMBROXOL TAB. 30 MG TABLET 330.00
4 AMINOFILIN TABLET 200 MG TABLET 500 97.00
5 AMITRIPTILIN HCL TABLET SALUT 25 MG TABLET 168.00
6 AMLODIPIN 10 MG TABLET 1,710 95.00
7 AMLODIPIN 5 MG TABLET 130 75.00
8 AMOKSISILIN KAPSUL 250 MG CAPSUL 1,872 196.00
9 AMOKSISILIN KAPSUL 500 MG CAPSUL 440 248.00
10 AMPISILINA 500 MG TAB TABLET 815 443.00
11 ANTALGIN (METAMPIRON) TABLET 500 MG TABLET 1,700 163.00
12 ANTASIDA DOEN TABLET KOMB. (100) TABLET 2,030 56.00
13 ANTI MIGRAIN DOEN TABLET KOMB. TABLET 149.00
14 ASAM ASKORBAT(VIT.C) TAB.50 MG TABLET 2,660 120.00
15 ASAM MEFENAMAT 500 MG KAPLET 2,100 103.00
16 ASAM TRANEXAMAT TAB 500MG TABLET 2,750.00
17 ASETOSAL TABLET 100 MG TABLET 127.00
18 ASETOSAL TABLET 500 MG TABLET 294.00
19 ASIKLOVIR TABLET 200 MG TABLET 259.00
20 ASIKLOVIR TABLET 400 MG TABLET 550 425.00
21 BETAHISTIN MALEAT TABLET 300 119.00
22 CEFADROXIL TABLET 500 MG TABLET 557.00
23 CIPROFLOXACIN 500 MG TABLET 423 281.00
24 CITRIZINE TABLET 10 MG TABLET 1,000 97.00
25 CLOBAZAM TAB 10 MG TABLET 950.00
26 CLOPIDOGREL 75 MG TABLET 3,588.00
27 CO AMOXICLAV 625 MG TABLET 5,050.00
28 DEXAMETASON TAB.0,5MG TABLET 288 106.65
29 DIAZEPAM TABLET 2MG TABLET 100 86.00
30 DIAZEPAM TABLET 5 MG TABLET 100 109.00
31 DIGOKSIN TAB. 0,25 MG TABLET 104.00
32 DOKSISIKLIN 100 MG CAPSUL 264.00
33 DOMPERIDON TAB 10 MG TABLET 720 90.00
34 EFEDRIN HCL TABLET 25 MG TABLET 57.00
35 ERYTROMISIN 250 MG CAPSUL 800 636.00
36 ERYTROMISIN 500 MG KAPLET 1,000 781.00
37 FENITOIN NATRIUM KAP. 100 MG CAPSUL 759.00
38 FITOMENADION (VIT.K 1) TAB.SALUT 10 MG TABLET 300 818.00
39 FUROSEMID TAB.40 MG TABLET 245 79.00
40 GARAM ORALIT UNTUK 200 ML BUNGKUS 273.00
41 GLIBENKELAMID TABLET 5 MG TABLET 121.00
42 GLISERIL GUAYAKOLAT TAB.100 MG TABLET 31.00
43 GRISEOFULVIN TAB. 125 MG TABLET 2,100 313.00
44 HALOPERIDOL TABLET 0.5 MG TABLET 55.00
45 HALOPERIDOL TABLET 1.5 MG TABLET 59.00
46 HALOPERIDOL 2 MG TABLET 134.00
47 HIDROKLOROTIAZID (HCT) TAB.25 MG TABLET 178.00
48 IBUPROFEN TABLET 200 MG TABLET 5 112.00
49 ISOSORBIT DINITRAT TAB.SALUT 5 MG TABLET 1,473 89.00
50 KALIUM DIKLOFENAK TABLET 50 MG TABLET 644.00
51 KALSIUM LAKTAT (KALK) TAB.500 MG TABLET 1,647 59.00
52 KAPTOPRIL 12,5 MG TABLET 20 65.00
53 KAPTOPRIL 25 MG TABLET 500 86.00
54 KAPTOPRIL 50 MG TABLET 107 143.00
55 KARBAMAZEPIN TAB.200 MG TABLET 234.00
56 KETOKONAZOLE TAB 200 MG TABLET 119 286.00
57 KLINDAMSIN 150 MG TABLET 405.00
58 KLORAMFENIKOL KAPSUL 250 MG CAPSUL 73 739.29
59 KLORFENIRAMIN MALEAT (CTM) TAB.4 MG TABLET 2,721 24.00
60 KLOROKUIN TAB. 150 MG TABLET 110.00
61 KLORPROMAZIN HCL TAB.SALUT 100 MG TABLET 170.00
62 KOM. PIRIMETAMIN 25 MG + SULFADOXIN 500 MG TABLET 570.00
63 KOTRIMOKSAZOL TABLET 480 MG TABLET 1,400 125.00
64 KOTRIMOKSAZOL TABLET PEDIATRIK TABLET 76.00
65 KUININ SULFAT TAB.222 MG TABLET 737.00
66 LANSOPRAZOL KAP 30 MG CAPSUL 330.00
67 LOPERAMIDE HCL 2 MG TABLET 156 85.00
68 LORATADINE TAB 10 MG TABLET 340 193.00
69 METFORMIN 500 MG TABLET 285 103.00
70 METHYL PREDNISOLON TAB 4 MG TABLET 1,261 139.00
71 METILERGOMETRIN MALEAT TAB 0,125 MG TABLET 400 169.00
72 METOKLOPRAMID 10 MG TABLET 500 93.00
73 METRONIDAZOL TAB.250 MG TABLET 345 94.00
74 NATRIUM BICARBONAT TABLET TABLET 23.00
75 NATRIUM DIKLOFENAK 25 MG TABLET 150.00
76 NATRIUM DIKLOFENAK 50 MG TABLET 710 135.00
77 NIFEDIPINE 10 MG TABLET 498 107.00
78 NISTATIN SALUT 500.000 IU TABLET 580 910.00
79 NISTATIN TABLET VAGINAL 100.000 IU/G TABLET 602.00
80 OMEPRAZOL KAP 20 MG CAPSUL 260 138.00
81 PARASETAMOL TAB.100 MG TABLET 1,500 89.54
82 PARASETAMOL TAB.500 MG TABLET 9,348 60.00
83 PIRACETAM TAB. 400 MG KAPLET 200.00
84 PIRACETAM TAB. 800 MG KAPLET 820.00
85 PIRANTEL TABLET 125 MG TABLET 294 331.00
 86 PIRIDOKSIN HCL TAB. 10 MG TABLET 1,315 141.00
87 PIROXICAM 10 MG TABLET 84.00
88 PIROXICAM 20 MG TABLET 104.00
89 PREDNISON TAB.5 MG TABLET 515 74.00
90 PRIMAKUIN TAB.15 MG TABLET 258.00
91 PROPANOLOL HCL TABLET 10 MG TABLET 600 59.00
92 PROPILTIOURASIL TABLET 100 MG TABLET 329.00
93 RANITIDINE TABLET 150 MG TABLET 600 150.00
94
95 RETINOL (VIT A) KAPSUL 100.000 IU CAPSUL 277 327.00
96 RETINOL (VIT A) KAPSUL 200.000 IU CAPSUL 519.20
97 RIFAMPICIN 450 MG CAPSUL 1,031.00
98 RIFAMPICIN 600 MG KAPLET 1,420.00
99 RISPERIDON TAB 2 MG TABLET 197 273.00
100 SALBUTAMOL 2 MG TABLET 332 64.00
101 SIANOKOBALAMINA ( VITB 12) TABLET TABLET 49.00
102 SIMETIDIN TABLET TABLET 584 545.00
103 SIMVASTATIN TAB. 10 MG TABLET 105 110.00
104 TABLET TAMBAH DARAH KOMB. TABLET 930 410.00
105 TETRASIKLIN HCL KAPSUL 250 MG CAPSUL 174.00
106 TETRASIKLIN HCL KAPSUL 500 MG CAPSUL 500 329.00
107 THIAMPHENICOL KAP. 500 MG CAPSUL 265 1,830.00
108 TIAMIN HCL MONONITRAT (VIT B1) TAB.50 MG TABLET 88.00
109 TRIFLUOPERAZIN 5 MG TABLET 700 309.00
110 TRIHEKSIFENIDIL HIDROKLORIDA TAB.2 MG TABLET 80.00
111 VITAMIN B COMPLEKS TAB TABLET 135.00
112 ZINC TABLET TABLET 1,243 604.00
113 AMBROXOL SYR 15 MG/ML BOTOL 3,275.00
114 AMOKSISILIN SIRUP KERING 125 MG/ 5ML BOTOL 42 1,920.00
115 ANTASIDA DOEN SUSPENSI BOTOL 63 2,098.00
116 CITRIZINE SYRUP BOTOL 28 2,993.00
117 DOMPERIDON SUSPENSI 5 MG/5 ML BOTOL 100 2,862.00
118 ERYTROMISIN SYRUP BOTOL 7,039.00
119 IBUPROFEN SUSPENSI BOTOL 2,560.00
120 KOTRIMOKSAZOL SUSPENSI 240 MG / 5 ML BOTOL 66 2,225.00
121 PARASETAMOL DROP BOTOL 42 7,646.00
122 PARASETAMOL SYRUP 120 MG/5 ML BOTOL 285 1,160.00
123 THIAMFENICOL SYR BOTOL 9,900.00
124 ZINK SYRUP BOTOL 50 3,285.00
125 AMINOFILIN INJEKSI 24 MG/ML - 10 AMPUL 17 3,080.00
126 AMPISILINA SERBUK INJ 1GR VIAL 5,610.00
127 ANTALGIN INJ. 250 MG /ML-2ML AMPUL 1,925.00
128 ASAM TRANEXAMAT INJ AMPUL 30 2,789.00
129 ATROPIN INJEKSI I.M 0.25MG/ML AMPUL 93 1,540.00
130 DEXTROSE 5 + 1/4 NS BOTOL 8,470.00
131 DEXAMETASON INJ.5MG/ML-1ML AMPUL 82 1,210.00
132 DIAZEPAM INJ.5MG/ML-2ML AMPUL 7 1,913.00
133 DIFENHIDRAMIN INJ.10 MG /ML-1ML AMPUL 40 1,222.00
134 DOPAMIN INJ AMPUL 10,045.00
135 EFINEPRIN HCL/BITARTRAT INJ.0,1% AMPUL 13 1,518.00
136 FENOBARBITAL INJ. 50 MG/ML - 2 ML AMPUL 1,925.00
137 FITOMENADION (VIT.K 1) INJ.10 MG/ML-1ML AMPUL 59 4,083.00
138 FUROSEMID INJ 10 ML AMPUL 2,058.00
139 GENTAMYCIN INJEKSI 80 MG/2 ML AMPUL 3,739.00
140 GLUKOSA LAR,INFUS 10 % STERIL BOTOL 7,500.00
141 GLUKOSA LAR.INFUS 5 % STERIL BOTOL 40 6,900.00
142 HALOPERIDOL INJEKSI AMPUL 91,667.00
143 KETOPROFEN INJEKSI 100 MG AMPUL 5,650.00
144 KETOROLAC INJEKSI 30 MG AMPUL 38 1,383.00
145 KLORPROMAZIN HCL INJ. 5 MG / ML-2ML1ML AMPUL 1,155.00
146 KUININ HIDROKLORIDA INJ.25 % -2 ML AMPUL 6,820.00
147 LIDOKAIN INJ. 2% AMPUL 68 1,280.00
148 LIDOKAIN KOMB.INJ. HCL 2% AMPUL 13 2,227.00
149 MAGNESIUM SULFAT 20 % INJEKSI AMPUL 13 3,328.00
150 MAGNESIUM SULFAT 40 % INJEKSI AMPUL 3,796.00
151 MENADION K3 INJ AMPUL 1,281.00
152 METIL ERGOMETRIN MALEAT INJ.0,200 MG-1ML AMPUL 89 3,278.00
153 NATRIUM KLORIDA LARUTAN INFUS 0,9 % BOTOL 59 6,410.00
154 OKSITOSIN INJ 10 IU/ML - 1 ML AMPUL 84 1,900.00
155 PIRACETAM INJ 1 GR AMPUL 6,600.00
156 RANITIDINE INJ 25 MG/ML-2ML AMPUL 69 1,155.00
157 RINGER LAKTAT LAR.INFUS STERIL BOTOL 52 7,150.00
158 SEFOTAKSIM INJEKSI 0,5 G VIAL 6,485.00
159 SEFOTAKSIM SERBUK INJ. 1 G VIAL 4,410.00
160 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 ML (ABU I) VIAL 2 479,996.00
161 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL (ATS) AMPUL 2 130,999.00
162 SERUM ANTI DIFTERI 20000 UI VIAL 2,200,007.70
163 SIANOKOBALAMINA ( VITB 12) INJ.500 MCG./ML AMPUL 89 1,117.00
164 ANTI BAKTERI DOEN SALEP POT 3,490.00
165 ASIKLOVIR KRIM TUBE 3,619.00
166 BETAMETASON KRIM 0,1 % TUBE 16 1,373.00
167 BISAKODIL SUPPOSITORIA SUPP 17 6,000.00
168 DIAZEPAM RECTAL 10 MG TUBE 8 19,378.00
169 VERAPAMIL 50 MG TABLET 240.00
170 BISOPPROLOL TAB 5MG TABLET 695.00
171 DILTIAZEM TABLET 137.00
172 ASAM FOLAT 1 MG TABLET 81.00
173 SULFASALAZINE TABLET 2,000.00
174 GLICLAZID TABLET 251.00
175 IRBESARTAN TABLET 1,567.00
176 GEMFIBROZIL KAPLET 436.00
177 AMIODARON TABLET 1,430.00
178 GLIMEPIRID TABLET 450 207.00
179 MELOXICAM 15 TABLET 1,439.00
180 KODEIN TABLET TABLET 550.00
181 ISONIAZID TAB 300 MG TABLET 174.00
182 OBAT ANTITUBERKULOSIS FDC SISIPAN PAKET 198,986.00
183 GENTAMYCIN SALEP KULIT 0,1 % TUBE 1,835.00
184 GENTAMYCIN SULFAT TETES MATA 0,3 % TUBE 7 4,885.00
185 GENTIAN VIOLET LARUTAN 1 % BOTOL 1,870.00
186 HIDROKORTISON KRIM 2,5% TUBE 10 2,533.00
187 IODIUM POVIDON IODIDA 30 ML 10% BOTOL 14 3,480.00
188 IODIUM POVIDON IODIDA 300 ML 10% BOTOL 4 21,600.00
189 KETOKONAZOLE KRIM 2 % TUBE 9 2,790.00
190 KLORAMFENIKOL SALEP MATA 1% TUBE 1 1,925.00
191 KLORAMFENIKOL TETES TELINGA 3% BOTOL 12 8,470.00
192 MIKONAZOLE SALEP TUBE 3,075.00
193 OKSITETRASIKLIN HCL SALEP 3 % TUBE 2,800.00
194 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE 3,050.00
195 SALEP 2-4 KOMB. POT 102 3,017.00
196 SALISIL BEDAK 2 % KOTAK 1,071.00
197 OKSITETRASIKLIN HCL INJ. 50 MG/ML-10 ML VIAL 3,025.00
198 ANTI HAEMOROID DOEN SUPP 12 3,428.00
199 OAT/FDC KAT I KOTAK 1 413,984.00
200 OAT/FDC KAT II KOTAK 1 1,492,579.00
201 OAT/FDC KAT anak KOTAK 232,518.00
202 DEC 100mg tablet TABLET 18,405 180.00
203 ALBENDAZOLE TABLET 400mg TABLET 2,000 271.14
204 PROKAIN BENZIL PENISILIN VIAL 9,908.00
205 GENTAMISIN INJ 40ml AMPUL 3,896.00
206 GLUKONAS KALSIKUS 10% AMPUL 10,351.00
207 ANTIFUNGI DOEN KOMB : ASAM BENZOAT 6% POT 19 4,972.00
208 SERUM ANTI BISA ULAR POLIVALEN INJ 50ML VIAL 462,000.00
209 STREPTOMYCIN INJ. 1000MG VIAL 5,750.00
210 ASAM FOLAT 0,4 MG TABLET 68.00
211 GENTAMICYN SALEP MATA TUBE 2,786.00
212 SUCRALFAT SIRUP BOTOL 14,450.00
213 BROMHEXIN 8 MG TABLET 112.00
214 METFORMIN 850 MG TABLET 167.00
215 KLINDAMYCIN 300 MG TABLET 300 589.00
216 DULCOLAX 10 MG SUPP SUPP 5,800.00
217 N ACETYLCYSTEIN 200 MG CAPSUL 214 412.00
218 ISONIAZID TAB 100 MG TABLET 59.00
219 MDT COMBI ADULT (KUSTA) STRIP 2 30,595.00
220 AZITROMYCIN DRY SYRUP 200 MG/ML BOTOL 25,098.00
221 AZITHROMYCIN 500 MG TABLET 1,778.00
222 MULTIVITAMIN TABLET TABLET 395.00
223 THROMBO ASPILETS TABLET 986.00
224 VENTOLIN NEBU AMPUL 12,550.00
225 ALBOTHYL BOTOL 31,500.00
226 SCABIMITE KRIM TUBE 46,000.00
227 BRONSOLVAN TABLET 200 310.00
228 AMINOFLUID BOTOL 67,761.00
229 ASERING BOTOL 20 9,646.00
230 COMBIVEN NEBU BOTOL 4,995.00
231 NOVOMIX PENFLEX SET 106,000.00
232 ATROVENT SPRAY BOTOL 83,500.00
233 BIOPLACENTONE GELL 10 GRAM TUBE 16,000.00
234 BETHADINE GARGLE (OBAT KUMUR) BOTOL 2 23,614.00
235 ANTRAIN INJ KOTAK 66,000.00
236 AQUA GEL BOTOL 46,368.00
237 ARTEM INJ AMPUL 33,034.00
238 CITICOLLIN INJ AMPUL 22,100.00
239 KANDISTATIN DROPS BOTOL 6 35,000.00
240 ONDANCENTRON 4MG INJ AMPUL 17 1,198.00
241 PEHACAIN INJ AMPUL 3,150.00
242 HALOPERIDOL DROP/LODOMER DROP BOTOL 17,505.00
243 ZIRCUM KID DROP BOTOL 11,700.00
244 OBAT BATUK HITAM SYRUP BOTOL 6,050.00
245 MULTI VITAMIN SYRUP BOTOL 6,600.00
246 BISOLVON DROP BOTOL 95,000.00
247 AQUA PRO INJEKSI VIAL 6 2,860.00
248 ETAKRIDIN/RIVANOL LAR.0,1 % BOTOL 7,000.00
249 ETANOL 70 % BOTOL 2,625.00
250 ETHIL KLORIDA SEMPROT BOTOL 102,692.00
251 EUGENOL CAIRAN BOTOL 4 18,333.00
252 CONCOR 2.5 MG TABLET 650.00
253 SAMCOBION CAPSUL 494.45
254 ETANOL 70% 1 LITER BOTOL 3 31,250.00
255 OBAT BATUK SIRUP KOMBINASI BOTOL 8,250.00
256 RAPID HIV 1 SD SET 79 22,350.00
257 RAPID 2 HIV INTEC SET 22,440.00
258 RAPID 3 HIV ONCOPROBE SET 223,386.00
259 PYRIMETHAMIN 25 MG TAB TABLET -
260 DHP/OAM TABLET 9 258.00
261 ARTESUNATE INJ.250 MG AMPUL 42,900.00
262 EUTHYROX 100 UG TABLET 944.00
263 CAMABION KAPSUL CAPSUL 35,380 355.00
264 FENOBARBITAL 50 MG TAB(SIBITAL) TAB TABLET 100 1,573.00
265 OBAT FLU KOMB.TAB(MERTISAL) TAB TABLET 913.00
266 VITAMIN NEUROTROPIK 5000 MG (MERSIBION) TABLET 1,815.00
267 BETAHISTINE MALEAT (VASTIGO) TABLET TABLET 693.00
268 METAMIZOLE 500 MG/ML INJEKSI AMPUL 6,930.00
269 ALAT SUNTIK SEKALI PAKAI 1 ML SET 200 1,020.90
270 ALAT SUNTIK SEKALI PAKAI 3 ML SET 173 1,033.56
271 ALAT SUNTIK SEKALI PAKAI 5 ML SET 861 1,141.44
272 ALAT SUNTIK SEKALI PAKAI 10 ML SET 88 1,693.89
273 BISTURI NO. 12 (carbon steel capel) PCS 81 3,300.00
274 BLOOD LANCET PCS 200 160.23
275 BOX SLIDE PCS 86,750.77
276 CATGUT / BENANG BEDAH NO.2/0 - 3/0 SET 6,421.00
277 FOLLEY CATHETHER NO.12 PCS 13,530.00
278 FOLLEY CATHETHER NO.16 PCS 13,530.00
279 FOLLEY CATHETHER NO.18 PCS 5 13,530.00
280 HAND SCHOEN L NON STERIL KOTAK 5 56,826.00
281 HAND SCHOEN M NON STERIL KOTAK 56,826.00
282 HAND SCHOEN S NON STERIL KOTAK 56,826.00
283 HAND SCHOEN L STERIL PCS 7 9,348.00
284 HAND SCHOEN M STERIL PCS 19 9,348.00
285 HAND SCHOEN S STERIL PCS 9,348.00
286 HAND SCHOEN OBSETRIKAL PCS 2 19,000.00
287 INFUS SET ANAK PCS 75 7,920.00
288 INFUS SET DEWASA PCS 69 7,920.00
289 IV CATHETER NO. 18 PCS 32 9,158.49
290 IV CATHETER NO. 20 PCS 53 9,159.00
291 IV CATHETER NO. 22 PCS 47 9,158.49
292 IV CATHETER NO. 24 PCS 50 16,087.50
293 IV CATHETER NO. 26 PCS 35 27,134.80
294 JARUM KULIT PCS 20,000.00
295 JARUM OTOT PCS 15,000.00
296 KACA SLIDE PCS 361 277.70
297 KAPAS ADSORBEN 500 GR BUNGKUS 3 40,204.44
298 KAPAS PEMBALUT ABSORBEN 250 GR BUNGKUS 11 27,750.00
299 KASA KOMPRES 40/40 STERIL ROL 120 1,840.00
300 KASA PEMBALUT 2M X 80 CM ROL 21 10,177.60
301 KASA PEMBALUT 36 X 80 CM ROL 1 139,000.00
302 KASA PEMBALUT 36 X 80 CM ROL 139,600.00
303 KASA PEMBALUT HIDROFIL 4M X 15 CM ROL 43 4,000.00
304 KASA PEMBALUT HIDROFIL 4M X 3 CM ROL 56 845.00
305 KASA STERIL 16 X 16 HK KOTAK 12 8,492.50
306 KERTAS EKG ROL 27,000.00
307 LARUTAN ANISOL BOTOL 256,500.00
308 LARUTAN EDTA 100 ml BOTOL 117,900.00
309 LARUTAN EOSIN 2 % BOTOL 1 279,000.00
310 LARUTAN GIEMSA STAIN BOTOL 567,000.00
311 LARUTAN H2O2 BOTOL 30,000.00
312 LARUTAN HCL 0,1 N BOTOL 31,500.00
313 LARUTAN HAYEM BOTOL 1 49,500.00
314 LARUTAN KARBOL FUKSIN BOTOL 85,500.00
315 LARUTAN METANOL BOTOL 1 81,000.00
316 LARUTAN REAGENT ANTI A BOTOL 109,000.00
317 LARUTAN REAGENT ANTI AB BOTOL 121,000.00
318 LARUTAN REAGENT ANTI B BOTOL 109,000.00
319 LARUTAN REAGENT ANTI D BOTOL 138,000.00
320 LARUTAN REAGENT ZIENIL NEELSEN BOTOL 2 263,314.00
321 LEUCOPLAST 7.5 CM X 5 CM ROL 3 35,532.00
322 MAAG SLANG DEWASA (STOMACH TUBE NO. 16) PCS 10 9,065.10
323 MASKER KARET KOTAK 8 23,100.00
324 MASKER TALI KOTAK 29,520.00
325 NEEDLE 23 PCS 85 190.00
326 NEEDLE 24 PCS 190.00
327 PLASTER 5 YARD X 2 INCH ROL 26,875.50
328 RAPID TES PROTEIN PCS 20 1,201.75
329 RDT TYPUS KOTAK 1,181,250.00
330 SELANG OKSIGEN ANAK PCS 3 8,118.00
331 SELANG OKSIGEN BAYI PCS 8,118.00
332 TEST DENGUE DEVICE PCS 217,800.00
333 TEST HBsAG STRIP PCS 104 9,850.00
334 TEST HCG STRIP KOTAK 106,650.00
335 TEST MALARIA DEVICE PCS 19 47,317.00
336 TEST URINE TRIP 10 PARAMETER PCS 300 1,457.00
337 THREE WAY BUAH 15,380.00
338 ULTRASOUND GEL 250 ML BOTOL 24,175.00
339 UNDERPAD PCS 30 4,786.76
340 URINE BAG PCS 6 6,765.00
341 WING NEEDLE 27 PCS 1,827.00
342 AIR RAKSA DENTAL USE BOTOL 577,000.00
343 ARTICULATING PAPER KOTAK 196,020.00
344 BONDING SINGLE BOND BUAH 851,070.00
345 CELLULOID STRIP BUAH 220,000.00
346 COMPOSITE PASTE (SOLARE) BUAH 532,400.00
347 ETCHING BUAH 275,000.00
348 FUJI 9 ART (MINI) BUAH 1,026,000.00
349 FUJI II LC BUAH 561,000.00
350 FUJI IX GC BUAH 1,180,614.00
351 FUJI VII GC WHITE BUAH 1,263,114.00
352 MATRIX ROLL + MATRIX BOND BUAH 119,982.30
353 MICRO BRUSH BUAH 232,000.00
354 OCHO BUAH 188,000.00
355 SALIVA EJECTOR BUAH 120,000.00
356 SEMEN SENG FOSFAT SERBUK DAN CAIRAN BUAH 146,300.00
357 SILVER AMALGAM SERBUK 65-75% BUAH 1,235,000.00
358 SPONS GELATIN CUBICLES 1 X 1 X 1 CM BUAH 110,000.00
359 TABUNG VENOJECT EDTA BUAH 54 3,300.00
360 CLEVER CHECK BUAH 255,000.00
361 CELL CLEAN BUAH 1,197,900.00
362 MASKER RESPIRATOR BUAH 25,000.00
363 HYPAFIX KOTAK 79,000.00
364 PIPET TETES BUAH 850.00
365 THERMAROL BUAH 46,000.00
366 LIPID PANEL TEST BUAH 1,698,759.00
367 ALKOHOL SWAB PCS 222 135.30
368 LYSOL BOTOL 49,200.00
369 CELL PACK BUAH 1,768,800.00
370 STOMALYZER BUAH 1,171,500.00
371 JARUM AUTO CLICK PCS 16,000.00
372 ALAT SUNTIK 0.05ML PCS 2,880.00
373 ALAT SUNTIK 0.5ML PCS 2,880.00
374 DIAMOND BOOR SET M BUAH 278,000.00
375 DIAMOND BOOR SET S BUAH 323,000.00
376 FEEDING TUBE BUAH 9,471.00
377 FISURE LANCIP LONG BUAH 55,000.00
378 LARUTAN SALMONELLA PARATYPHI H BOTOL 218,000.00
379 LARUTAN SALMONELLA PARATYPHI HA BOTOL 218,000.00
380 LARUTAN SALMONELLA PARATYPHI HC BOTOL 218,000.00
381 LARUTAN SALMONELLA PARATYPHI O BOTOL 218,000.00
382 LARUTAN SALMONELLA PARATYPHI OA BOTOL 218,000.00
383 LARUTAN SALMONELLA PARATYPHI OB BOTOL 218,000.00
384 LARUTAN SALMONELLA PARATYPHI OC BOTOL 218,000.00
385 REAGEN TEST CHLONESTERASE ACHE (DIGITAL) BOTOL 17,400,000.00
386 SUAB TENGGOROKAN BOTOL 20,000.00
387 MINIOCEP BUAH 29,000.00
388 SELANG OKSIGEN DEWASA BUAH 1 8,118.00
389 SILK(BENANG BEDAH SUTERA)NO.3/0 PCS 1 25,567.00
390 REAGEN TEST CHLONESTERASE BCHE (DIGITAL) BOTOL 17,400,000.00
391 POLIFIX 5 CM X 5 CM ROL 39,901.00
392 CATGUT PLAIN 2/0 BUNGKUS 12 35,285.00
393 POLIBAN 5 CM X 2.7 M ROL 9,497.00
394 CATGUT CROM 3/0 PCS 4 42,605.00
395 SABUN ANTI SEPTIK (DETTOL) BOTOL 20,900.00
396 POT SPUTUM BOTOL 56 5,890.00
397 VERORAB REGULAR VIAL 174,500.00
398 VAXIGRIP 0.5 ML VIAL 146,801.00
399 INFUS SET TIPE Y PCS 6,492.37
400 CHOLESTEROL TEST PCS 70 23,566.00
401 GLUCOSE TEST STRIP 50'S PCS 500 3,189.72
402 URIC ACID STRIP PCS 150 5,238.80
403 POLIFIX 10 CM X 5 CM PCS 2 85,970.50
404 TEST HIV SET 75 15,297.00
405 GLUCOSE TEST STRIP 25'S PCS 250,920.00
406 CHOL+HDL+GLU TEST 15'S PCS 1,112,600.00
407 BUKBASTIK KOTAK 115,500.00
408 LARUTAN ICON OS BOTOL 870,000.00
409 CYNOFF LITER 192,500.00
410 RDT MALARIA PCS 5,271.00
411 ABATE BOTOL 109,000.00
412 LARVASIDA ABATE KOTAK 18,945.00
413 INSEKTISIDA GOKILATH BOTOL 520,423.00
414 SOFRATULLE/FRAMICETINE PCS 35,401.70
415 SERUM ANTI RABIES (SAR) INJ 200 IU 5 ML VIAL 164,030.00
416 TEST AMPHETAMIN STRIP KOTAK 613,000.00
417 TEST SALMONELLA IGM CASSETTE (FOKUS) STRIP 17 49,369.00
418 TEST RPR (SEPHILIS) STRIP 20 4,477.00
419 HAND RUB BOTOL 2 78,750.00
420 MASKER KARET HIJAB KOTAK 25,300.00
421 FEEDING TUBE NO. 6 PCS 1 9,065.10
422 FEEDING TUBE NO. 8 PCS 1 9,471.00
423 STOMACH TUBE NO. 16 PCS 9,065.10
424 TEST HAEMOGLOBIN STRIP KOTAK 493,954.73
425 RABIES IMUNO GLOBULIN (HYPERRAB) VIAL 4,100,000.00
426 VAKSIN POLIO VIAL 18,370.00
427 VAKSIN CAMPAK VIAL 25,641.00
428 VAKSIN BCG VIAL 11 20,900.00
429 VAKSIN BCG VIAL 20,900.00
430 VAKSIN DPT HB HIB / PENTABIO VIAL 35 71,810.00
431 VAKSIN DPT HB UNIJECT / HB O VIAL 13 20,900.00
432 VAKSIN TT VIAL 12,910.00
433 VAKSIN TD VIAL 13 12,910.00
434 VAKSIN DT VIAL 29 16,360.00
435 SAFETY BOX PCS 25 21,929.00
436 HEPATITIS B 0,5ML ADS VIAL 1,325,000.00
437 HEPATITIS B 0,5ML ADS VIAL 1,325,000.00
438 ADS 0.05 ML PCS 600 1,565.00
439 ADS 0.5 ML PCS 1,484 1,240.00
440 ADS 5 ML PCS 955.00
441 POLIO PIN VIAL 18,370.00
442 VAKSIN POLIO BOPV VIAL 16 18,140.00
443 VAKSIN IPV VIAL 18 144,450.00
444 VAKSIN MENINGITIS 200 Mcg VIAL 135,000.00
445 VAKSIN DPT HB UNIJECT DEWASA PCS 20 52,052.00
446 VAKSIN MEASLES AND RUBELLA VIAL 25 155,813.00
447 VAKSIN HUMAN PAPILOMA VIRUS (HPV) VIAL 512,656.00
448 ALAT DETEKSI RESIKO IBU HAMIL PAKET 2 409,816.00
449 ALAT DETEKSI RESIKO IBU HAMIL 2 PAKET 501,748.00
450 CLORAMFENICOL TETES MATA BOTOL 7,370.00
451 TEST HCG PCS 2,133.00
JUMLAH
JUMLAH KETERANGAN

82,485
-
-
48,500
-
162,450
9,750
366,912
109,120
361,045
277,100
113,680
-
319,200
216,300
-
-
-
-
233,750
35,700
-
118,863
97,000
-
-
-
30,715
8,600
10,900
-
-
64,800
-
508,800
781,000
-
245,400
19,355
-
 -
-
657,300
-
-
-
-
560
131,097
-
97,173
1,300
43,000
15,301
-
34,034
-
53,968
65,304
-
-
-
175,000
-
-
-
13,260
65,620
29,355
175,279
67,600
46,500
32,430
-
-
95,850
53,286
527,800
-
35,880
134,310
560,880
-
-
97,314
185,415
-
-
38,110
-
35,400
-
90,000
-
90,579
-
-
-
53,781
21,248
-
318,280
11,550
381,300
-
164,500
484,950
-
216,300
-
-
750,772
-
80,640
132,174
83,804
286,200
-
-
146,850
321,132
330,600
-
164,250
52,360
-
-
83,670
143,220
-
 99,220
13,391
48,880
-
19,734
-
240,897
-
-
-
276,000
-
-
52,554
-
-
87,040
28,951
43,264
-
-
291,742
378,190
159,600
-
79,695
371,800
-
-
959,992
261,998
-
99,413
-
-
21,968
102,000
155,024
-
-
-
-
-
-
-
 -
-
93,150
-
-
-
-
-
34,195
-
25,330
48,720
86,400
25,110
1,925
101,640
-
-
-
307,734
-
-
41,136
413,984
1,492,579
-
3,312,900
542,280
-
-
-
94,468
-
-
-
-
-
-
-
176,700
-
88,168
-
61,190
-
 -
-
-
-
-
-
62,000
-
192,920
-
-
-
-
47,228
-
-
-
-
210,000
20,366
-
-
-
-
-
-
17,160
-
-
-
73,332
-
-
93,750
-
1,765,650
-
-
-
2,322
-
-
12,559,900
157,300
-
 -
-
-
204,180
178,806
982,780
149,062
267,300
32,046
-
-
-
-
67,650
284,130
-
-
65,436
177,612
-
38,000
594,000
546,480
293,072
485,427
430,449
804,375
949,718
-
-
100,250
120,613
305,250
220,800
213,730
139,000
-
172,000
47,320
101,910
-
-
-
279,000
-
 -
-
49,500
-
81,000
-
-
-
-
526,628
106,596
90,651
184,800
-
16,150
-
-
24,035
-
24,354
-
-
1,024,400
-
899,023
437,100
-
-
143,603
40,590
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
 -
-
-
178,200
-
-
-
-
-
-
-
30,037
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
8,118
25,567
-
-
423,420
-
170,420
-
329,840
-
-
-
1,649,620
1,594,860
785,820
171,941
1,147,275
-
-
-
-
-
-
-
-
-
-
-
-
839,273
89,540
157,500
-
9,065
9,471
-
-
-
-
-
229,900
-
2,513,350
271,700
-
167,830
474,440
548,225
-
-
939,000
1,840,160
-
-
290,240
2,600,100
-
1,041,040
 3,895,325
-
819,632
-
-
-
73,188,535